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This is VAERS ID 1437466

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437466
VAERS Form:2
Age:49.0
Sex:Male
Location:Virginia
Vaccinated:2021-06-26
Onset:2021-06-30
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dysphagia, Facial paralysis, Tenderness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: HBP, DYSLIPIDEMIA
Allergies: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PT CALLED SAYING SYMPTOMS STARTED TODAY 6/30: DROOPING ON ONE SIDE OF FACE, REPORTS TENDERNESS, TROUBLE SWALLOWING; DENIES TROUBLE BREATHING OR SIGNIFICANT PAIN IN AREA. EXPLAINED IT MAY BE BELLS PALSY. PT WILL BE GOING TO ER TO BE FURTHER EVALULATED.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437466&WAYBACKHISTORY=ON


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